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We hypothesised that the expression of selected proteases, matrix molecules, and collagens believed to have a role in the pathogenesis of OA would be changed in naturally occurring canin

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Open Access

Vol 8 No 6

Research article

Analysis of normal and osteoarthritic canine cartilage mRNA expression by quantitative polymerase chain reaction

Dylan N Clements1,2, Stuart D Carter1, John F Innes1, William ER Ollier2 and Philip JR Day2

1 The Musculoskeletal Research Group, c/o Department of Veterinary Pathology, Faculty of Veterinary Science, University of Liverpool, Liverpool, L69 3BX, UK

2 Centre for Integrated Genomic Medical Research, The Stopford Building, University of Manchester, Oxford Road, Manchester, M13 9PT, UK Corresponding author: Dylan N Clements, dylan.clements@liverpool.ac.uk

Received: 26 Apr 2006 Revisions requested: 18 May 2006 Revisions received: 7 Aug 2006 Accepted: 10 Oct 2006 Published: 10 Oct 2006

Arthritis Research & Therapy 2006, 8:R158 (doi:10.1186/ar2053)

This article is online at: http://arthritis-research.com/content/8/6/R158

© 2006 Clements et al.; licensee BioMed Central Ltd

This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The molecular basis to mammalian osteoarthritis (OA) is

unknown We hypothesised that the expression of selected

proteases, matrix molecules, and collagens believed to have a

role in the pathogenesis of OA would be changed in naturally

occurring canine OA cartilage when compared to normal

articular cartilage Quantitative (real-time) reverse

transcriptase-polymerase chain reaction assays were designed measuring the

expression of selected matrix molecules (collagens and small

leucine-rich proteoglycans), key mediators of the proteolytic

degradation of articular cartilage (metalloproteinases,

cathepsins), and their inhibitors (tissue inhibitors of matrix

metalloproteinases) All data were normalised using a geometric

mean of three housekeeping genes, and the results subjected to

power calculations and corrections for multiple hypothesis

testing We detected increases in the expression of BGN,

COL1A2, COL2A1, COL3A1, COL5A1, CSPG2, CTSB, CTSD, LUM, MMP13, TIMP1, and TNC in naturally occurring

canine OA The expression of TIMP2 and TIMP4 was

significantly reduced in canine OA cartilage The patterns of gene expression change observed in naturally occurring canine

OA were similar to those reported in naturally occurring human

OA and experimental canine OA We conclude that the expression profiles of matrix-associated molecules in end-stage mammalian OA may be comparable but that the precise aetiologies of OA affecting specific joints in different species are presently unknown

Introduction

Osteoarthritis (OA) is the most common debilitating disease of

mammalian joints The clinical prevalence of human OA has

been estimated to affect 12.1% of the population aged 25 to

74 [1], whereas clinical OA affects up to 20% of the canine

population at large [2] Canine OA usually develops secondary

to an identifiable initiating cause (for example, secondary to hip

dysplasia [3]), although it can be experimentally induced [4]

Experimental models provide controlled and reproducible

development of OA [5], but only the study of naturally

occur-ring disease allows experimental findings to be directly related

to the clinical presentation with absolute certainty The related-ness of the pathogenesis of a common disease, such as OA,

in two different species has not been characterised [6]

At present, the precise mechanisms underlying the molecular pathogenesis of OA are unknown Quantification of gene expression is a fundamental tool for investigating gene func-tion in biological systems, particularly for elucidating patholog-ical mechanisms at play in diseased tissues Quantitative reverse transcriptase-polymerase chain reaction (RT-PCR) is currently considered the most accurate technique for quantify-ing gene expression With the publication of the canine genome [7], RT-PCR assays can now be readily designed for

ADAMTS5 = ADAM metallopeptidase with thrombospondin type 1 motif, 5; AGC1 = aggrecan; BGN = biglycan; CI = confidence interval; COL1A2

= type I collagen, alpha two chain; COL2A1 = type II collagen alpha 1 chain; COL3A1 = type III collagen alpha 1 chain; COL5A1 = type V collagen alpha 1 chain; COL9A3 = type IX collagen alpha 3 chain; CSPG2 = chondroitin sulphate proteoglycan 2; CT = mean threshold cycle; CTSB = cathe-psin B; CTSD = cathecathe-psin D; DCN = decorin; DF = degradation factor; ECM = extracellular matrix; FDR = false discovery rate; GAPDH = glyceral-dehyde-3-phosphate dehydrogenase; LUM = lumican; MMP = matrix metalloproteinase; OA = osteoarthritis; RIN = RNA integrity number; RPL13A

= ribosomal protein L13a; RT-PCR = reverse-transcriptase-polymerase chain reaction; SDHA = succinate dehydrogenase complex, subunit A; TBP

= TATA box binding protein; TIMP1 = tissue inhibitor of metalloproteinase 1; TIMP2 = tissue inhibitor of metalloproteinase 2; TIMP4 = tissue inhibitor

of metalloproteinase 4; TNC = tenascin C.

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the measurement of canine gene expression Although

canine-specific oligonucleotide microarrays are available for the

quan-tification of mRNA transcripts in canine tissue, such as

carti-lage [8], quantitative RT-PCR validation of the results

produced is still required

Articular cartilage is composed of chondrocytes embedded in

an extracellular matrix (ECM) The structural strength of the

matrix is provided by collagens such as type II collagen

(COL2), type VI collagen (COL6), type IX collagen (COL9),

type XI collagen (COL11), and type XVI collagen (COL16),

with COL2 accounting for 90% to 95% of the collagen

com-position of the ECM Other than water, the major

non-colla-genous component of articular cartilage is aggrecan (AGC1);

smaller components include the small leucine-rich

cans such as biglycan (BGN), chondroitin sulphate

proteogly-can 2 (CSPG2), decorin (DCN), lumiproteogly-can (LUM), and tenascin

C (TNC) The proteolytic degradation of normal and

osteoar-thritic cartilage matrix is performed by proteases such as the

matrix metalloproteinases (MMPs) [9], members of the

ADAMTS (a disintegrin and metalloproteinase with

throm-bospondin-like motif) family (or 'aggrecanases') [10], and

lys-osomal proteases (such as cathepsins) [11] Tissue inhibitors

of matrix metalloproteinases (TIMPs) are naturally occurring

inhibitors of MMP and ADAMTS function [12] The authors

are unaware of any publications documenting the change in

expression of structural ECM and protease collagens in the

articular cartilage of dogs with naturally occurring OA We

hypothesised that the expression of selected proteases, matrix

molecules, and collagens would be modulated in naturally

occurring canine OA

Materials and methods

Cartilage samples

Osteoarthritic articular cartilage was harvested from the

femo-ral heads of dogs that had end-stage natufemo-rally occurring OA

secondary to hip dysplasia (n = 15, mean age 2.7 years [range

1 to 12 years], mean weight 28.2 kg [range 25 to 36 kg]) and

that were undergoing routine surgical treatment of the disease

(total hip replacement) In all cases, severe clinical and

radio-graphic signs associated with OA of the affected joint

neces-sitated surgical treatment of the disease Articular cartilage

was harvested from the area surrounding the central cartilage

erosion usually observed on the canine OA hip [3] Normal

articular cartilage was harvested without visual evidence of hip

dysplasia or OA from the femoral heads of dogs, which had

been euthanatised for reasons unrelated to joint disease (n =

13, mean age 3.3 years [range 1 to 11 years], mean weight

26.2 kg [range 15 to 40 kg]) Articular cartilage was obtained

from the same site of the femoral head in the control dogs as

it was in diseased dogs Cartilage samples were immediately

immersed in RNAlater™ (Ambion Ltd., Huntingdon, UK) at

room temperature for 24 hours before being stored at -20°C

until use, in accordance with the manufacturer's instructions

RNA extraction from articular cartilage

Tissue samples were removed from RNAlater™ and total RNA was extracted using phenol/guanidine HCl reagents (Trizol™; Invitrogen Ltd, Paisley, UK) and isolated as previously described [13,14] An on-column DNA digestion step was included (RNase-Free DNase Set; Qiagen Ltd, Crawley, UK) Final elution of the total RNA was performed using 30 μl of RNase-free water and repeated to maximise the amount of RNA eluted

RNA quality assessment

The concentration of total RNA of each sample was quantified

by using a spectrophotometer (NanoDrop Technologies, Wilmington, DE, USA) RNA integrity was analysed by evalu-ating the capillary electrophoresis trace (Agilent 2100 Bioan-alyser; Agilent Technologies, Santa Clara, CA, USA) of the sample by using the RNA integrity number (RIN) algorithm [15], degradation factor (DF) [16], and ribosomal peak ratio The sample was determined to have minimal or no loss of integrity (RIN >6.4 and/or DF <10 and/or a ribosomal ratio

>0.4) and thus deemed suitable for use in the following exper-iments in accordance with a previously developed quality algo-rithm [14]

Synthesis of cDNA

Each sample was normalised to a concentration of 20 μg/μl, using RNAse-free water, and reverse transcription was per-formed using 10 μl RNA (200 μg total RNA) with oligo-dT12–

18 and Superscript II reverse transcriptase (Invitrogen Ltd) After reverse transcription, the template was diluted with 500

μl RNase/DNase-free water cDNA was stored at -80°C until later use in quantitative PCR

Quantitative PCR

Transcript sequences were obtained from the canine genome database [17], with cross-reference to the National Center for Biotechnology Information (Bethesda, MD, USA) [18] Where possible, assays were designed in areas of sequence showing 100% homology between predicted and verified sequences Primer and probe sequences were designed using online design software [19] To enhance the probability of transcript-specific PCR, selected amplicon systems were designed so that the last six to seven bases of a 3' primer or the probe crossed an exon-exon boundary When this was not possible, the primers were designed to be hybridised on different exons, with an intronic sequence greater than 1,100 base pairs, to maintain specificity for mRNA Some assays could be designed within only a single exon, and thus a genomic DNA assay was also designed to determine whether genomic con-tamination was present BLAST (Basic Local Alignment Search Tool) searches were performed for all primer sequences to confirm gene specificity

Genes were selected for assay on the basis of their impor-tance to cartilage homeostasis or pathology as derived from a

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literature review of naturally occurring human OA and

experi-mental canine OA and from the results of a preliminary

canine-specific whole genome microarray study, using a small number

of samples Assays were designed for quantification of

expres-sion of five collagen genes (type I collagen, alpha 2 chain

[COL1A2], type II collagen alpha 1 chain [COL2A1], type III

collagen alpha 1 chain [COL3A1], type V collagen alpha 1

chain [COL5A1], and type IX collagen alpha 3 chain

[COL9A3]), six ECM genes (AGC1, BGN, CSPG2, DCN,

LUM, and TNC), an intermediate filament (vimentin), proteases

and their inhibitors (ADAMTS-5, cathepsins B [CTSB],

cathe-psin D [CTSD], MMP13, TIMP1, TIMP2, and TIMP4), and

genomic DNA Assays for four reference genes

(glyceralde-hyde-3-phosphate dehydrogenase [GAPDH], TATA box

bind-ing protein [TBP], ribosomal protein L13a [RPL13A], and succinate dehydrogenase complex, subunit A [SDHA]) (Table

1) were also designed The reference genes used were selected from a panel of reference genes by applying a gene stability algorithm [20] Primers were synthesised by MWG Biotech (London, UK) Locked nucleic acid fluorescence res-onance energy transfer probes with a 5' reporter dye FAM (6-carboxy fluorescein) anda dark quencher dyewere synthesised

by Roche Diagnostics Ltd (Lewes, West Sussex, UK) The quantitative (real-time) PCR assays were all performed in triplicate using a TaqMan™ ABI PRISM 7900 SDS (Applied Biosystems, Foster City, CA, USA) in 384-well plate format Each assay well had a 10-μl reaction volume consisting of 5 μl

Table 1

A list of primer and probe sequences for the genes evaluated

ADAMTS5 TGGGTTCCCAAATATGCAG CTGTCCCATCCGTCACCT CTGGGAGA

1AGC1 GGGACCTGTGTGAGATCGAC GTAACAGTGGCCCTGGAACT AGGAGCTG

COL1A2 CTATCAATGGTGGTACCCAGTTT TGTTTTGAGAGGCATGGTTG GCCTGCTG

COL2A1 CTGGTGAACCTGGACGAGAG ACCACGATCACCCTTGACTC CCTCCTGG

COL3A1 GGATGGTGGCTTCCAGTTT CCAGCTGGACATCGAGGA GCTGCCTG

COL5A1 AACCTGTCGGATGGCAAGT CAGTCCAAGATCAAGGTGACAT CAGCATCC

COL9A3 CGAGGTGCCTCAGGTGAC ACCCAGCTCTCCTTTGTCC GAGACCAG

CSPG2 TGGATGGTTTTAATACGTTCAGG GCCGTAGTCACACGTCTCTG CTGCCTTC

GAPDH CTGGGGCTCACTTGAAAGG CAAACATGGGGGCATCAG CTGCTCCT

Genomic AACCCTCAAAGATGAGGTTTAGC ACTCTGGGATCACGCATGT CTGCCTTC

MMP13 CCGCGACCTTATCTTCATCT AACCTTCCAGAATGTCATAACCA AGAGGCAG

RPL13A CTGCCCCACAAGACCAAG GGGATCCCATCAAACACCT CCAGGCTG

TIMP1 TGCATCCTGCTGTTGCTG AACTTGGCCCTGATGACG CCCAGCAG

TIMP2 ATGGGCTGTGAGTGCAAGAT CACTCATCCGGAGACGAGAT CTGCCCCA

TIMP4 GCAGAGAGAAAGTCTGAATCATCA GGCACTGTATAGCAGGTGGTAA TGTGGCTG

ADAMTS5, ADAM metallopeptidase with thrombospondin type 1 motif, 5; AGC1, aggrecan; BGN, biglycan; COL1A2, type I collagen, alpha two

chain; COL2A1, type II collagen alpha 1 chain; COL3A1, type III collagen alpha 1 chain; COL5A1, type V collagen alpha 1 chain; COL9A3, type

IX collagen alpha 3 chain; CSPG2, chondroitin sulphate proteoglycan 2; CTSB, cathepsin B; CTSD, cathepsin D; DCN, decorin; GAPDH, glyceraldehyde-3-phosphate dehydrogenase; Genomic, Genomic DNA, LUM, lumican;MMP13, matrix metalloproteinase 13; RPL13A, ribosomal protein L13a; SDHA, succinate dehydrogenase complex, subunit A; TBP, TATA box binding protein; TIMP1, tissue inhibitor of metalloproteinase 1; TIMP2, tissue inhibitor of metalloproteinase 2; TIMP4, tissue inhibitor of metalloproteinase 4; TNC, Tenascin C; VIM, vimentin.

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2X PCR master mix with Uracil N-Glycosylase (Universal PCR

Mastermix; Applied Biosystems), 0.1 μl each of 20 μM forward

and reverse primers, 0.1 μl of 10 μM probe (Exiqon; Roche

Diagnostics Ltd), and 4.7 μl of sample cDNA (templates) or

water (negative controls)

The amplification was performed according to standard

proto-col with 10 minutes at 50°C followed by 40 cycles of 95°C for

1 minute and 60°C for 15 seconds, as recommended by the

manufacturer (Applied Biosystems) Real-time data were

ana-lysed by using the Sequence Detection Systems software,

version 2.2.1 (Applied Biosystems) The detection threshold

was set manually at 0.05 for all assays Standard curves were

generated for each assay (Additional file 1), to confirm that all assays were generated within acceptable limits (efficiency 93% > x > 107.4%) and R2 values (R2 > 0.98) (with the excep-tion of the genomic contaminaexcep-tion assay, in which efficiency was lower, but the detection of any transcript was deemed unacceptable)

Data analysis

The weights and ages of the patients were normally distributed

and thus compared with the calculation of means and Student t

tests The weight of the articular cartilage samples and quantity of RNA extract were compared using median values and

Mann-Whitney U tests because the data were not normally distributed.

Table 2

The dynamic range, standard curve slope, R 2 value, and efficiency of each polymerase chain reaction assay

Assay Lower detection limit (CT value) Upper detection limit (CT value) Standard curve slope R 2 value Efficiency

See Additional file 1 for further details ADAMTS5, ADAM metallopeptidase with thrombospondin type 1 motif, 5; AGC1, aggrecan; BGN, biglycan; COL1A2, type I collagen, alpha two chain; COL2A1, type II collagen alpha 1 chain; COL3A1, type III collagen alpha 1 chain; COL5A1, type V collagen alpha 1 chain; COL9A3, type IX collagen alpha 3 chain; CSPG2, chondroitin sulphate proteoglycan 2; CTSB, cathepsin B;

CTSD, cathepsin D; DCN, decorin; GAPDH, glyceraldehyde-3-phosphate dehydrogenase; LUM, lumican;MMP13, matrix metalloproteinase 13; RPL13A, ribosomal protein L13a; SDHA, succinate dehydrogenase complex, subunit A; TBP, TATA box binding protein; TIMP1, tissue inhibitor

of metalloproteinase 1; TIMP2, tissue inhibitor of metalloproteinase 2; TIMP4, tissue inhibitor of metalloproteinase 4; TNC, Tenascin C; VIM,

vimentin.

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Real-time data were analysed by generation of mean threshold

cycle (CT) values from each transcript in triplicate Geometric

means [20] were calculated for the combined three reference

genes (GAPDH, TBP, and RPL13A) and used to calculate the

ΔΔCT (delta-delta CT) values and the relative amount of each

target gene [21] (Table 2) A fourth reference gene (SDHA)

was not included as a reference gene, because it was found

to have differential expression between normal and OA

sam-ples, even when included as part of the normalisation

calcula-tion The upper detection limit of dynamic range generated

from the standard curves was used as a cut-off point, above

which real-time data were discarded (that is, included in the

statistical analyses as zero/no transcript present)

Data were compared with the calculations of means, standard deviations, and fold changes from normal and paired

two-tailed t tests (body weight and age) performed in a

spread-sheet program (Microsoft Excel 2003; Microsoft Corporation, Redmond, WA, USA) and the calculation of graphs, 95%

con-fidence intervals (CIs) of the mean, and Mann-Whitney U tests

(to compare the amount of each target) performed in a statis-tical analysis software package (Minitab version 14.1; Minitab Ltd., Coventry, UK) One-sided power calculations were per-formed, assuming normality from the two samples with une-qual variance and using a freely available web-based program

[22] Significance was established at p < 0.05, and a robust

statistical analysis was assumed to have a power value greater than or equal to 80% Data were checked for errors due to

Table 3

Change in gene expression, mean 2 - ΔΔCT values, significance and power of comparisons between normal and OA canine articular cartilage

Gene Number of samples in which expression was

detected

2 -ΔΔCT normal 2-ΔΔCT OA Fold change in expression

(diseased versus normal)

Mann-Whitney U test p value

Power

TIMP4 27 0.109 0.043 -0.608 0.0094 0.859

TIMP2 28 3.959 1.664 -0.580 0.0020 0.844

ADAMTS5 16 0.031 0.019 -0.551 0.8478 0.175

COL3A1 26 10.573 37.867 2.581 0.0011 0.982

COL2A1 27 1.412 23.583 15.705 0.0001 0.779

ADAMTS5, ADAM metallopeptidase with thrombospondin type 1 motif, 5; AGC, aggrecan; BGN, biglycan; COL1A2, type I collagen, alpha two

chain; COL2A1, type II collagen alpha 1 chain; COL3A1, type III collagen alpha 1 chain; COL5A1, type V collagen alpha 1 chain; COL9A3, type

IX collagen alpha 3 chain; CSPG2, chondroitin sulphate proteoglycan 2; CTSB, cathepsin B; CTSD, cathepsin D; DCN, decorin; GAPDH, glyceraldehyde-3-phosphate dehydrogenase; LUM, lumican; MMP13, matrix metalloproteinase 13; OA, osteoarthritis; RPL13A, ribosomal protein L13a; SDHA, succinate dehydrogenase complex, subunit A; TBP, TATA box binding protein; TIMP1, tissue inhibitor of metalloproteinase 1;

TIMP2, tissue inhibitor of metalloproteinase 2; TIMP4, tissue inhibitor of metalloproteinase 4; TNC, Tenascin C; VIM, vimentin.

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multiple hypothesis testing by using the Benjamini and

Hoch-berg false discovery rate (FDR) [23]

Results

There were no significant differences between the ages (mean

control 3.3 years [± 3.2 years, range 1 to 12 years], mean OA

2.7 years [± 3.1 years, range 1 to 11 years], p = 0.768) or

body weights (mean control 26.2 kg [± 8.0 kg, range 15 to 32

kg], mean OA 28.3 kg [± 3.8 kg, range 23 to 36 kg], p =

0.109) of the dogs in the diseased and control groups There

was no significant difference between the weight of the

carti-lage samples (median control 103 mg [range 45 to 260 mg],

median OA 92 mg [range 40 to 192 mg], p = 0.817) or the

quantity of RNA extracted, as determined by

spectrophotome-ter (median control 35 ng/μl [range 26 to 339 ng/μl], median

OA 42 ng/μl [range 22 to 247 ng/μl], p = 0.788).

Expression values are presented in Table 3 Two genes were

determined to have significant downregulation (TIMP2 and

TIMP4) in canine OA cartilage One gene was determined to

be significantly downregulated (SDHA) but with a low power

value (72%); this gene was excluded after FDR correction

Ten genes were determined to be significantly upregulated in

the OA samples (BGN, COL3A1, COL5A1, CSPG2, CTSB,

CSTD, LUM, MMP13, TIMP1, and TNC) Furthermore, in OA,

three genes were determined to be upregulated (COL1A2,

COL2A1, and COL9A3) but with low power values (74%,

78%, and 63%, respectively) and one gene was excluded

after FDR correction (COL9A3).

No amplification of genomic DNA was observed for any of the samples The average standard deviation for the triplicates in each assay was 16.9% (range 7.3% to 37.9%), indicating that all assays were reproducible Eleven of the 2,592 data points were removed because they were assumed to be aberrant (markedly different from the other two values in the triplicate)

None of the 'no template' control wells (n = 864) revealed a

signal Fold gene expression changes are illustrated in Figures

1 and 2, with all data normalised to the mean of the control val-ues (with a fold change of 0 being no change, a fold change

of 1 meaning a doubling of expression, and a fold change of -0.5 meaning a halving of expression) Statistical and power calculations are reported in Table 3

Figure 1

Graph illustrating the means and 95% confidence intervals (CIs) of the gene expression profiles

Graph illustrating the means and 95% confidence intervals (CIs) of the gene expression profiles To normalise values, the mean of each control

group has been used to normalise and produce fold changes in expression The results of the COL9A3 transcript are omitted because the 95% CIs were very high *Significant difference ADAMTS5, ADAM metallopeptidase with thrombospondin type 1 motif, 5; AGC, aggrecan; COL9A3, type IX collagen alpha 3 chain; CTSB, cathepsin B; D, disease; DCN, decorin; GAPDH, glyceraldehyde-3-phosphate dehydrogenase; N, normal; RPL13A, ribosomal protein L13a; SDHA, succinate dehydrogenase complex, subunit A; TBP, TATA box binding protein; TIMP2, tissue inhibitor of metallopro-teinase 2; TIMP4, tissue inhibitor of metalloprometallopro-teinase 4; TNC, Tenascin C; VIM, vimentin.

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Quantitative (real-time) RT-PCR is the most sensitive

tech-nique for the determination of mRNA transcript number [24]

To maximise the precision of our data, we included only mRNA

samples that had been determined as being of high quality

(using an algorithm determined by previous work [15]),

because mRNA degradation can affect assay performance

[24] Assays were optimised within specific limits of efficiency,

and the dynamic range of each assay was determined, used,

and presented with the expression data Additionally, we

cor-rected our results for multiple hypothesis testing (reducing the

opportunity for making a statistical type II error) and present

power values, allowing an interpretation of the strength of

each significant up- or downregulation

If variables such as the methods of mRNA extraction, RNA

quality assessment, reverse transcription, assay design,

meas-urement of genomic contamination, standard curve data

gen-eration, reference gene selection, and data normalisation were

presented in the 'Materials and methods' and 'Results'

sec-tions of manuscripts using quantitative PCR, more appropriate

comparison of results between different studies could be

made The geometric mean of three reference (housekeeping)

genes was used in this study to reduce the variability

associ-ated with the use of a single reference gene Geometric mean

methodology has been validated as a more accurate

normali-sation technique than that using a single reference gene if the

reference genes are selected through the use of a stability

algorithm [21], although in this study one of the genes

identi-fied by the algorithm (SDHA) was not stably expressed (Table

3)

Gene expression varies with both the site of cartilage harvest [25] and the degree of cartilage degeneration [26] in the OA joint We attempted to minimise this variability by using end-stage OA, age- and weight-matched samples, and stringent RNA quality control A relatively high degree of heterogeneity (large 95% CIs) was observed in the level of gene expression measured from the clinical samples in this study, even existing between samples within the same group This may reflect dif-ferences in dog age and/or breeds or variation in the time from surgical removal to collection in the preservative fluid The analysis of additional samples or the phenotyping and selec-tion of samples through histological grading may have increased the statistical powers of each of these differences observed, as the severity of OA measured by histology (Mankin score) correlates with a reduction in the expression of

COL2 and AGC [27].

Cell culture-based biological systems provide a more control-led methodology for evaluating gene expression when

com-pared with in vivo tissue For example, increased cell numbers

can be obtained, breed and age factors can be eradicated, and the absence of ECM facilitates the extraction of higher quality of mRNA [16] This is particularly true for studies of smaller mammals such as the dog, in which clinical samples of osteoarthritic cartilage may be less than 100 mg in size How-ever, cell-based models may differ in both gene expression

Figure 2

Graph illustrating the means and 95% confidence intervals (CIs) of the gene expression profiles

Graph illustrating the means and 95% confidence intervals (CIs) of the gene expression profiles To normalise values, the mean of each control

group has been used to normalise and produce fold changes in expression The results of the COL9A3 transcript are omitted because the 95% CIs were very high *Significant difference BGN, biglycan; COL1A2, type I collagen, alpha two chain; COL2A1, type II collagen alpha 1 chain;

COL3A1, type III collagen alpha 1 chain; COL5A1, type V collagen alpha 1 chain; COL9A3, type IX collagen alpha 3 chain; CSPG2, chondroitin

sulphate proteoglycan 2; CTSD, cathepsin D; D, disease; LUM, lumican; MMP13, matrix metalloproteinase 13; N, normal; TIMP1, tissue inhibitor of

metalloproteinase 1.

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profiles [28] or cell phenotype [29] with in vitro tissue

Ulti-mately, our understanding of the molecular pathogenesis of

OA requires relating changes observed with in vitro

experi-mentation to those identified from clinical tissue

The paucity of literature reporting changes in gene expression

observed in naturally occurring canine OA implies that often

this is not easy to achieve In part, this reflects the difficulties

associated with the use of clinical tissue samples, as noted

above, and the fact that the technology required to enable the

economic evaluation of gene expression across large groups

of tissue samples is only just becoming available Indeed, we

were limited by sample quantity, quality, and cost and needed

to rationalise our list of genes selected for evaluation, as

dis-cussed previously

We document marked elevation of expression in genes

encod-ing for collagen synthesis in the articular cartilage of dogs with

end-stage OA, which concurs with the findings in early

exper-imental canine OA [30-33] COL1A2, COL3A1, and

COL5A1 are characteristically synthesised by cells with a

fibrocartilaginous phenotype [34]

The increased expression of BGN, CSPG2, CTSB, DCN,

LUM, MMP13, and TNC is consistent with previous studies of

expression of these genes in both naturally occurring human

[35-39] and experimental canine OA [30-32] The biological

significance of fold changes in gene expression between

con-trol and OA samples is unknown in the absence of additional

data such as gross, radiographic, or histological scoring or

protein quantification Likewise, the changes in gene

expres-sion documented do not specify whether these changes are

causal or simply associated with the development of pathology

in the OA joint

We documented decreases in the expression of TIMP2 and

TIMP4 and an increase in the expression of TIMP1 in canine

OA cartilage The decrease in TIMP4 expression was

consist-ent with expression profiles of human OA cartilage [39],

although TIMP1 expression has been documented as being

decreased and TIMP2 expression has been documented as

being unchanged in human OA [39] Direct comparison of

gene expression levels with those measured in other joints

and/or in different species may be of limited value because the

underlying aetiologies to the development of OA may differ

However, the evaluation of structural matrix components and

proteases affecting those components is still of interest

because the end-stage pathology characterising canine OA

mimics that described for human OA [40]

Conclusion

On the basis of the results we present, the gene expression of

selected matrix molecules and key mediators of the proteolytic

degradation of articular cartilage is changed in end-stage,

nat-urally occurring OA of the canine hip The patterns of gene

expression change are broadly similar to those reported in experimental canine stifle OA and naturally occurring human OA

Competing interests

The Universal Probe Library™ was supplied at a reduced cost

by Roche Diagnostics Ltd

Authors' contributions

DNC collected and processed samples, carried out the molec-ular genetic studies, performed the statistical analysis, and drafted the manuscript SDC, JFI, and WERO conceived of the study, participated in its design and coordination, and helped to draft the manuscript PJRD participated in the design of the study, the assay design, and statistical analysis All authors read and approved the final manuscript

Additional files

Acknowledgements

Fiona Salway assisted in the design of the molecular genetic studies Malcolm Ness, Malcolm McKey, Toby Gemmill, Carlos Macias, Andrew Coughlan, and Christopher May contributed through the collection of samples DNC is funded by the Biotechnology and Biological Sciences Research Council, and the project was funded by the Petplan Charitable Trust.

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